After School Pre-Registration Form

Parent/Guardian Name:
E-mail:*
Child's Name:*
Child 2's Name:
Child 3's Name:
School Attending:*

*Please note that registration fee + first week's fee must be paid to be added to ensure seating. (seating is limited)

Registration Fee : $20.00 X Number of Children
Weekly Tuition    : $40.00 Per child (15% off each additional child)

Registration Fees:
 $ 
Tuition Fees:
 $ 
Total Amount: